The Internet has also contributed to the increasing amount of information available about apotemnophilia that is widely accessible to the general public.
We think that this report is the first case of a patient with apotemnophilia who presented in his 20s.
Although his nerve conduction studies were found to be characteristic of early GBS, (6) his lack of reliable physical examination findings, combined with his purposeful omission of a history of self-induced lower-extremity ischemia with a tourniquet, made the diagnosis of apotemnophilia elusive at his initial encounter.
Patients with apotemnophilia fantasize about accomplishing great feats despite having a handicapping amputation, (1) and the patient's claim of being a world-class artist may have stemmed from such a preconceived fantasy.
Money et al's' original case reports of two individuals with apotemnophilia describe individuals who were much older than our patient, and subsequent case reports have described individuals in their late 40s (3) and 60s.
There are reportedly several Internet sites that provide access to amputee pornography and information about socalled amputee devotees, or acrotomophiles (7) (ie, amputee partners), and "wannabes," or people with apotemnophilia, as well as listservs and other web-based discussion sites dedicated to apotemnophilia.
Early recognition and diagnosis of apotemnophilia may prevent unnecessary serious injuries requiring costly hospitalizations for patients with apotemnophilia.
Apotemnophilia is a rare cause of significant medical morbidity in atypical patient presentations.